HomeMy WebLinkAbout1000-70.-12-26.2 TOWN OF SOUTHOLD
Rental Permit
1034
Owner Paul & Mary Jane Mastrella
Occupied as Single Family Dwelling
Located at 760 Oakwood Drive Southold 70.-12-26.2
Maximum Permitted Occupancy 8
Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of
the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is
two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection.
12/12/2023
Code Ery or ement OffidAl
This Notice must be posted by the main entrance at all times
Y �
TOWN OF SOUTHOLD—BUILDING DEPARTMENT
Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-0959
Telephone (631) 765-1802 Fax(631) 765-9502 hU :// s�uffiol torn���py
RENTAL PERMIT APPLICATION
Rental Permit Fee $300(Application must be renewed every two years]
N 0 V P 1 '02
Section A.
Property Information:
Rental Property Address:
b CAL. '.v
Tax Map Number: 1000 SECTION -1 Q -BLOCK -LOT
SECTION B.
OWNER INFORMATION:
Property Owner Name: C
Property Owner Legal Address: Property Ov6ner'Mailing Address:
(Cannot be the same as Rental Property Address)
.
Telephone Number(s): Daytime " ` evening Emergency '->-) \--
Property Owner Email Address: " °" C\ �` - '�S_ C' A", (� CN o ��
0300
I � G i C)&a5-)
Page 1 of 4
SECTION F.
PROPERTY DESCRIPTION:
Number of Rental Dwelling Units on property:
For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example,
Unit 1, Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit
(for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each
` f
room.
For properties with multiple Rental Dwelling Units use "Rental Permit Application
Addendum." `
Rental Dwelling Unit Identifier: '
Requested Maximum number of persons allowed to occupy Dwelling Unit:A tx (�
Number of rooms in Rental Dwelling Unit:
Use and Dimensions of each room in Rental Dwelling Unit: V\� Al�Y• 1 X
SECTION G.
INSPECTION: "
Pursuant to the Town,Code of the Town of Southold Chapter 207 (Rental Properties), a safety
inspection by Code Enforcement Official is required. If the owner chooses not to have said
inspection performed by the Town, a certification from a licensed architect, a licensed
professional engineer or a home inspector who has a valid New York State Uniform Fire
Prevention Building Code Certification is required stating that the property which is the subject
of the rental permit application is in compliance with all of the provisions of the code of the
Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and
by the laws adopted by the New York State Fire Prevention and Building Code Council.
I am requesting a fire safety inspection to be performed by a Code Enforcement Official
from the Town of Southold
❑ I am submitting a completed Town of Southold certification form from a licensed
architect or a licensed professional engineer.
Page 3 of 4
SECTION H.
DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit.
STATE OF NEW YORK)
COUNTY OF SUFFOLK)
1 ate' �-- ��� 7 C-
certify under penalty of perjury,the following:
1. 1 am the owner of the property identified in "Section A" of this application.
2. The property owner's legal address set forth in "Section B" of this application is my legal
address and I understand the Town will use the address for service pursuant to all
applicable laws and rules. I further acknowledge that I will notify the Town of Southold
Building Department of any changes of address within five (5) days of any changes
thereto.
3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and
agreed to abide by the same.
d
4. 1 will notify the Town within five (5) business days s to any change to the information
regarding Authorized Agent, Managing Agent, or Site Manager.
Property Owner's Name: G`-.0 ` G, T'fe\� q
Property Owner's Signature: .
Sworn to for m this 31 day o dm 6y- , 2023
Official Notary Pub atur and Original Notary Stamp
CIRIA NiNOSKA MIRANn��
Notary Public,State of New York
No.01 M16264205
(`fit,alified in Otjppns County
Cort'&wtYjssiuii E=x(mt:,,Rune cb,20�
Page 4 of 4
qf so
TOWN OF T
X31 -765-1802 70 6
INSPECTION
[ FOUNDATION IST [ ] ROUGH PLBG.
[ ] FOUNDATION 2ND [ ] INSULATION/CAI
] FRAMING / STRAPPING [ ] FINAL
] FIREPLACE & CHIMNEY [ ] FIRE SAFETY IN!
C ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PE
ELECTRICAL (ROUGH) [ ] ELECTRICAL (FI
[ ] CODE VIOLATION [ ] PRE C/O
REMARKS: g ,. - ,
DATE INSPECTOR
Town Hall Annex
Town Of Southold 54375 Main Road
Rental Inspection Report PO Box 1179
171 Q-1
Southold, NY 11971-1179
4 Tel: 631-765-1802
S - Date
CTM# . . � ..��...... .
__.M_... .,..... .. ..__ . .. ._ _._ _.. . .._ ..... ..._.,
'Owner Phone
Address ' Visible
..w..... ... . .. .. Inspector p
Hamlett �, ...
Floor Level Quantities 1 2 ...._ 3..........'
Smoke .._. s ( o ...._ ..rc. in bedrooms)
Carbon MonoxiiideD Detectors .,..
Fire .... ..". "�._.... _._ _ ..
Extinguishers
Exits
Bedrooms
Smoke Detectors -
Egress
u
Occupant Count
Building Systems Maintained & Operational Condition of Property
Heating Building interior _
Hot waterl ding exterior
Bui
Electrical Property clean, maintained & safe
Mechanical Handrails &guards installed & secure
Pool Safety Pool on Site
Surface water alarmDate of CO issuance
.e. . .. ,.. . �. .. ...r,..,. _. .
larms Pool completely enclosed
Door
/ latching w gates - -
g Pool fence to code requirements
Self closing
CO's for all items present al
Prior Rent
. .men
SOWN OF SOUTHOLD PROPERTY RECORDj�
WNE
'S REE 7 VILLAGE DIST, 1 SUB. LOT
a
FORMER OWNEIR,77 t
w _ N E ACR.
4. -
3�h
SW TYPE OF BUILDING
a-
}
RES, SEAS. VLFARM COMM. CB. MICS. Mkt. Value
LAND IMP. TOTAL i DATE REMARKS
3
I
3
. o
' =J
i
I ;
I P#
t € i
i
Tillable FRONTAGE ON WATER
Woodland FRONTAGE ON ROAD
E �
Meadowland I DEPTH
House Plot
BULKHEAD
Total i
a
RAkr
– - –
IL J—
S :
t
70-12-26.2 02/02
e
i
M. Bldg
y �
_ 2
Extension -- — _-
Extension
!
Extension e.
Foundation Bath
_ r
Porch Basement Floors 3
a
Porch Ext, Walls I = Interior Finish
Breezeway I Fire Placa Hest
_ .,�
Roof €QorGarage
Patio Recreation Rocco, loon-is 2nd F!c��r _
e
0. B. ; �� � Dormer Drivew ,'
TotalF
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-27943 Date: 03 13 0
THIS CERTIFIES that the building NEW DWELLING
Location of Property: 760 OAKWOOD DR SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No. 473889 Section 70 Block 12 Lot 26.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated DECEMBER 11 1000 pursuant to which
Building Permit No. 27025-Z dated jhWARY 22 2001
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ONE FAMILY DWELLING � �" O PORCH AND ATTACHED TWO CAR
GARAGE AS APPI41ED FOR.
The certificate is issued to JOSEPH MURO
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-99-0182 0901zLn
ELECTRICAL CERTIFICATE NO. 1963 08/30/01
PLtMERS CERTIFICATION DATED 22LPO I G.A.H1 PLUMBING
+A�u /11 ignatture
Rev. 1/81
FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
office of the Building Inspector
Town Ball
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
No: Z-33106 Date_ 06 18 08
THIS CERTIFIES that the building ADDITION
Location of Property: 760 OAKWOOD — SOUTHOLD
(HOUSE NO.) (STREET) (HAMLET)
County Tax Map No_ 4738'4 9 Section 70 Block 12 Lot 26.2
Subdivision Filed Map No. Lot No.
conforms substantially to the Application for Building Permit heretofore
filed in this office dated JANUARY 181 2008 pursuant to which
Building Permit No. 33667-Z dated FEBRUARY 4.. 200$
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is DECK ADDITION WITH SPA TO AN EXISTING, ONE FX ILY DWELLING kLRD FO
The certificate is issued to JOEL & DONNACA°4"ANIA
. ,. ....,...� (OWNER) _w..
of the aforesaid building.
SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL /A
ELECTRICAL CERTIFICATE NO. 4001191 OS 27 08
PLUMBERS CERTIFICATION DATED N�A
t.h i.red igusture
Rev_ 1/81
FORM NO. 4
TOWN OF SOt7THOLD
Bt7ILDTNG VEPARTMENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
CERTIFICATE OF OCCUPANCY
4IS
Date: 0O4
Noe Z-3`0'136 . __ .....
THIS: CEitTZ ITS that the building ACCESSORY
Locatiah', of Prdpez-t c 760 OAKWOOD DR SOUTHOLD
(HOUSE USES Ido.) (STREET) (RAKLtZ,
County Tax Map No. 47j889 S4dtion 70 Block 12 Lot 26.2
Subdivision Filed Map No. Lot No.
conforms subotantially to the Application for Building Permit heretofore
filed in this office dated MAY 12, 2003 pursuant to which
BUtilding Pexmit No. 29428-Z dated MAY 271 200a
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is issued
is ACCESSORY rNGROUND SWIMMING 'POOL WITH PENCE TO CODE AS APPLIED, 1 R.
The cettificate is issued to THOMAS & IA'rHLEEN LONG III
(OWNER)
of the aforesaid building.
SUFFOLK COUNTY 'DEP'ARTMC OF HEALTH APFROVAI. NLA._
ELECTRICAL CERTIFICATE NO. 77547C 07111/03
PLUMBERS CERTIFICATION DATED N/A
i
..Authorized
Signa
i ... . .._.�
Rev. 1/81
21
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